| NPI | 1437569548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1059420) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: TX 806376) |
| 163WL0100X Registered Nurse Lactation Consultant (Licence: TX L-50770) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1059420) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX 1059420) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2025-07-24 |